Broca's Aphasia

List some non-speech signs of Broca's aphasia.

1. Contralateral hemiparesis/hemiparalysis 2. Apraxia 3. Dysarthria

What are the main things to assess when assessing for Broca's aphasia?

1. Examine verbal output 2. Look at verbal comm. and see what does and does not work in functional settings. 3. Examine discourse 4. Assess comprehension and cognition.

To use HELPSS, a person needs to have:

1. Good comprehension 2. Good cognition

What are some examples of discourse?

1. Introducing a topic 2. Maintaining conversation 3. Shifting topics 4. Dealing with conversation breakdown and repair

What is PACE?

A type of treatment for aphasia that allows the patient to use whatever modality is best for them that helps communicate a message effectively.

Describe typical reading and writing abilities in people with Broca's aphasia.

Because output is impaired, these people usually exhibit reading and writing deficits.

Compare Broca's aphasia to Global aphasia.

Both types are nonfluent, but Broca's has better comprehension

Compare Broca's aphasia to Transcortical motor aphasia.

Both types are nonfluent, but transcortical motor has better repetition.

Compare Broca's aphasia to Wernicke's aphasia.

Broca's aphasia has better comprehension, but Wernicke's has better fluency

Describe Broca's aphasia according to the four classifying categories of aphasia.

Fluency: impaired Auditory comprehension: (relatively) preserved Naming ability: impaired Repetition: impaired

HELPSS stands for:

Helm Elicited Program for Syntax Stimulation

PACE stands for:

Prompting Aphasics' Communication Effectiveness

How is HELPSS implemented?

SLP gives the patient a story with incomplete pictures. The client then uses syntactic structures to complete the story.

Broca's Aphasia is caused by damage to what area of the brain?

The inferior frontal lobe

What is the partner's role in PACE?

The partner is an equal piece of the puzzle and they should be equally trained to use the modality of communication that the patient knows how to use.

Can people with Broca's aphasia functionally communicate?

Yes, if they have effective strategies in place. This is because their spared auditory comprehension makes them aware of what is happening on around them.

HELPSS is primarily for use with:

agrammatic Brica's aphasia

The goal of PACE is _____________ _____________.

functional communication

MIT stands for:

melodic intonation therapy

MIT is best for Broca's patients who have poor ___________ ability.

repetition

When you are evaluating for Broca's aphasia, the most significant impairment you will find is in ___________ ________________.

verbal output

What skills must remain intact for a person with Broca's aphasia to use drawing as a communication substitution?

1. Sequencing 2. Comprehension ability

What are some general principles of treating Broca's aphasia?

1. Use strengths to improve weak areas 2. Use the strategies the person has already developed, if any 3. Use gestures and writing 4. Keep tasks as functional as possible 5. Change up the context, stimulus, etc.